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Individual

MRS. FALECIA RADER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
202 PROSPECT DR, GLENDIVE, MT 59330-1999
(406) 345-3306
(406) 345-3358
Mailing address
202 PROSPECT DR, GLENDIVE, MT 59330-1999
(406) 345-3377
(406) 345-3358

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0992593
CO
363LF0000X
Family Nurse Practitioner
Primary
131540
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47988509
CO
Enumeration date
10/10/2016
Last updated
06/22/2021
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